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Organization
DRUG SHOPPE INC
Active
Organization
DRUG SHOPPE INC
Active
Other names
FARMACIA SAN JOSE
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL OLIVENCIA (OWNER PHCST)
(787) 735-2401
Entity
Organization
Contact information
Practice address
CALLE SAN JOSE, STE 59, AIBONITO, PR 00705
(787) 735-2401
(787) 735-2500
Mailing address
PO BOX 2021, AIBONITO, PR 00705-2021
(787) 735-2401
(787) 735-2500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
17-F-3257
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2084551
PK
—
Enumeration date
01/08/2007
Last updated
01/18/2017
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